Service de rhumatologie, CHU, hôpital Côte-de-Nacre, BP 95182, 14033 Caen cedex 9, France.
Joint Bone Spine. 2011 Oct;78(5):516-8. doi: 10.1016/j.jbspin.2010.12.006. Epub 2011 Jan 26.
To assess the feasibility of ultrasound-guided surgery for carpal tunnel syndrome.
We first studied the ultrasound and anatomic findings in 30 cadaver wrists to determine the best surgical approach and the best plane for releasing the flexor retinaculum. We then used 104 cadaver wrists to assess the feasibility of our technique by performing the surgical procedure then extensively dissecting each wrist and hand. Our evaluation criteria were full release of the transverse carpal ligament and absence of injury to the vessels, nerves, and tendons.
The transverse carpal ligament was fully released in all 104 forearms. Full release required a single pass in 61 forearms, two passes in 27 forearms, and three passes in 16 forearms. No injuries to adjacent structures were identified.
Our cadaver study supports the feasibility of percutaneous surgery under ultrasound-guidance for carpal tunnel syndrome.
评估超声引导下腕管综合征手术的可行性。
我们首先研究了 30 例尸体腕关节的超声和解剖学发现，以确定最佳手术入路和松解屈肌支持带的最佳平面。然后，我们使用 104 例尸体腕关节通过进行手术操作，然后广泛解剖每个腕关节和手部，来评估我们技术的可行性。我们的评估标准是完全松解腕横韧带且不损伤血管、神经和肌腱。
在所有 104 例前臂中，腕横韧带均得到完全松解。61 例前臂只需单次通过即可完全松解，27 例前臂需要 2 次通过，16 例前臂需要 3 次通过。未发现邻近结构损伤。
我们的尸体研究支持超声引导下经皮手术治疗腕管综合征的可行性。
